MEDICARE: CHRISTINE KIRCHNER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1497694038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE KIRCHNER DDS

Provider Business Mailing Address
First Line	:	6451 FAUNTLEROY WAY SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1881
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6451 FAUNTLEROY WAY SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1881
Country	:	US
Telephone Number	:	206-938-4540
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JUSTEEN DAVIS
Credential	:
Telephone Number	:	206-938-4540

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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